Individual
DR. MARC ANDREW MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2790
(973) 754-2791
Mailing address
3998 FAIR RIDGE RD, SUITE 300, FAIREFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08239400
NJ
208000000X
Pediatrics Physician
241733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198064
—
NJ
Enumeration date
04/03/2007
Last updated
03/25/2015
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